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Haemorrhoids: Causes, Symptoms & Treatment

We understand that experiencing discomfort, pain, itchiness or swelling around the anal opening or noticing traces of blood during bowel movements, can be distressing. These are common indicators of hemorrhoids, also known as piles. Hemorrhoids develop due to elevated pressure within the blood vessels in the rectal region, causing them to stretch, swell and form hemorrhoids.

This condition can affect people at any stage of life but they tend to be more common among women, particularly during the third trimester of pregnancy. The physiological changes and increased pressure associated with pregnancy make women more susceptible to this condition. Don’t wait too long if you or someone you know is suffering from hemorrhoids. Instead, see a doctor for the right treatment on time. For a more detailed understanding of this condition, we’ve put together some common causes, symptoms and remedies.

Common Causes

  • Strain During Bowel Movements: One of the most common causes of hemorrhoids is excessive straining during bowel movements. This strain can be due to constipation, diarrhea or even heavy lifting.
  • Chronic Constipation or Diarrhea: Prolonged constipation can lead to hemorrhoids, as it requires increased effort during bowel movements. On the other hand, chronic diarrhea can irritate the rectum and anus, contributing to hemorrhoid formation.
  • Pregnancy: Increased pressure on the pelvic area during pregnancy, hormonal changes, and constipation often result in hemorrhoids among pregnant women.
  • Obesity: Being overweight or obese can put extra pressure on the rectal and anal areas, increasing the risk of hemorrhoids.
  • Aging: As people age, the tissues supporting the veins in the rectum and anus can weaken, making hemorrhoids more likely to develop.
  • Sitting or Standing for Long Periods: Sitting or standing without breaks can lead to poor circulation in the rectal area, potentially contributing to hemorrhoids.


The symptoms of hemorrhoids can vary depending on their type (internal or external) and severity. These include…

  • Rectal Bleeding: Bright red blood on toilet paper, in the toilet pot or on the stool is a common sign of hemorrhoids. However, it’s essential to rule out other potential causes of rectal bleeding by consulting a healthcare professional.
  • Pain and Discomfort: Pain or discomfort around the anus, especially during bowel movements or when sitting, can be a symptom of hemorrhoids. External hemorrhoids are often associated with more significant pain.
  • Itching and Irritation: Hemorrhoids can cause itching and irritation in the anal area, leading to discomfort and a constant urge to scratch.
  • Swelling and Lump Formation: External hemorrhoids can lead to a visible lump or swelling near the anus, which can be painful..
  • Mucous Discharge: Some people with internal hemorrhoids may experience a mucous discharge from the anus.


Treatment for hemorrhoids depends on the severity and type. Here are common treatment options to consider…

  • Lifestyle and Dietary Changes: Mild hemorrhoids can often be managed with lifestyle modifications, including consuming a high-fiber diet, staying hydrated, and avoiding straining during bowel movements.
  • Over-the-Counter (OTC) Medications: OTC creams and ointments may provide temporary relief from itching and discomfort.
  • Sitz Bath: Soaking the anal area in warm water (sitz bath) for about 15 minutes about 3-4 times a day can help reduce pain and inflammation.
  • Prescription Medications: In cases of severe pain or inflammation, a healthcare professional may prescribe stronger medications, including pain relievers or steroids.
  • Surgical Removal: Surgical removal (hemorrhoidectomy) is recommended by doctors for severe cases of hemorrhoids that do not respond to other treatments. This involves the removal of hemorrhoidal tissue.

It’s crucial to consult a healthcare provider for a proper diagnosis and treatment plan tailored to your specific symptoms and needs. At DRiefcase, we care about you and are with you every step of the way in your health journey. To consult an expert and receive the right treatment.